Thrombophlebitis

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It is the inflammation of the venous system, which can degenerate into deep vein thrombosis and/or pulmonary thromboembolism.

It is usually caused by medical diseases (cancer, congenital heart disease, nephrotic syndrome), trauma or intravenous catheters.

In many cases, it is not associated with symptoms. When it causes deep vein thrombosis, it is accompanied by swelling, redness and pain in the extremity. If it debuts as a pulmonary thromboembolism, it may cause respiratory failure, cardiocirculatory collapse or even death.

Diagnosis is reached by clinical questioning, physical examination and color Doppler ultrasound. Other complementary tests less commonly used are phlebography, computed tomography or magnetic resonance imaging.

Treatment must be adapted to each case, with anticoagulant drugs being the treatment of choice. 

Bibliographic references
  1. Kenet G, Nowak-Gôttl U. Venous thromboembolism in neonates and children . Best Practice&R esearch Clinical Haematology2012; 25: 333-344.
  2. Chan AK, deVeber G, Monagle P, Brooker LA, Massicotte PM.Venous thrombosis in children. J Thromb Haemost. 2003;1(7):1443-1455
  3. Setty BA, O’Brien SH, Kerlin BA. Pediatric venous thromboembolism in the United States: A tertiary care complication of chronic diseases. Pediatr Blood Cancer. 2012;59(2):258-264.
  4. Andrew M, David M, Adams M et al. Venous thromboembolic complications (VTE) in children: first analyses of the CanadianRegistry of VTE. Blood.1994;83(5):1251-1257.
  5. Van Ommen CH, Heijboer H, Buller HR, Hirasing RA,Heijmans HS, Peters M. Venous thromboembolism in childhood:a prospective two-year registry in The Netherlands. J Pediatr. 2001;139(5):676-681.
  6. Wright JM, Watts RG. Venous thromboembolism in pediatric patients: epidemiologic data from a pediatric tertiary care center in Alabama. J Pediatr Hematol Oncol. 2011;33(4):261-264.
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Symptoms

    Swollen vein is hard


    Pain when pressing the varicose vein


    Leg is swollen due to a varicose vein


    History of dilated veins in the legs - varicose veins


    Swollen leg

Symptoms to watch out for

Pain in the chest
A feeling of shortness of breath
Cough with blood or pus

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Use compression bands or tights.
Keep the limb raised
Apply warm compresses 3 to 4 times a day for 10 to 15 minutes.
Consult with your primary care physician about a prescription for anticoagulants.